Active NPI
Spine & Extremity Rehabilatation
- Chiropractor
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8116
- Legal business name
- SPINE & EXTREMITY REHABILATATION
- Practice address
- 1107 Delaware Ave
Fort Pierce, FL 34950-4048 - Phone
- (772) 464-2200
- Fax
- (772) 464-2447
- NPI assigned
- Apr 23, 2010
- Last updated
- Aug 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cary Richard Lubet, DC
- Title
- Presient
- Phone
- (772) 485-5959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8116 | FL | Primary |
Addresses
Primary practice location
1107 Delaware Ave
Fort Pierce, FL 34950-4048
Mailing address
4465 NW Alsace Ave
Port Saint Lucie, FL 34983-8338
Phone (772) 468-4999
National Provider Directory
National Provider DirectoryLocations
1107 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 464-2200
439 SE Port St Lucie Blvd
Port St Lucie, FL 34984
Phone (772) 468-4999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Fort Pierce, FL
- NPI 1831290188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1205153756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 NW ALSACE AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349838338",
"telephone_number": "772-468-4999",
"fax_number": "772-464-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 DELAWARE AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504048",
"telephone_number": "772-464-2200",
"fax_number": "772-464-2447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE & EXTREMITY REHABILATATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-23",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "LUBET",
"authorized_official_first_name": "CARY",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PRESIENT",
"authorized_official_telephone_number": "772-485-5959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.